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It is important to screen for those patients and also educate them around the time of surgery that optimizing nutritional intake is important. Witmer said patients should also be educated on the risks and benefits of GLP-1 receptor agonists, as well as the increased postoperative risks for nausea and vomiting

4,54,56,71 For the PO regimen, a loading dose of 140 mg/kg is given, followed by 70 mg/kg every 4 hours for a total of 18 total doses

The injection is now ready to be given Step 14

Steroid therapy is known to cause glucose intolerance, hypertension, adrenal suppression, gastrointestinal bleeding, pancreatitis, osteoporosis, cataracts, myopathy, insomnia, altered mental status, and aseptic necrosis of the femoral or humeral heads [106]